Can Screening Invitations from Primary Care Physicians Increase Participation in Cancer Screenings on Remote Islands?

スポンサーリンク

概要

• 論文の詳細を見る

• Background: Gastric and colorectal cancers are the leading cause of cancer-related deaths in Japan. In an attempt to control such cancer-related deaths, gastric and colorectal cancer screenings (GCSs) are readily available in Japan. Despite this, the rate of participation has been lower than expected. Previous studies have reported that some intervention tools can improve participation in cancer screenings and others cannot. Such studies conducted in rural areas are quite rare.Methods: The subjects were residents of Kozu Island. All subjects were aged 40 and over. In the clinical setting, primary care physicians (PCPs) handed their patients a screening invitation, in an attempt to improve participation in GCSs. We examined participation trends before and after this intervention. In addition, we administered questionnaires to examine subjects' reasons for attendance and relevant characteristics of the subjects.Results: Following the intervention, participation in GCSs did not significantly improve in the short term. In 2011, the number of participants in gastric cancer screening was 173 (22.1%) and was not significantly different from the 2010 results (P=0.80). Furthermore, the number of participants from year to year (2005-2011) was not significantly different (P=0.07). In addition, the number of participants in colorectal cancer screening was 145 (16.5%) and was not significantly different from the 2010 results (P=0.65). Moreover, the number of participants from year to year (2005-2011) was not significantly different (P=0.17). 172 out of 211 (82%) participants submitted the questionnaire. Results taken from the questionnaires showed that our screening invitation influenced non-elderly people (49.5±3.9 vs. 56.4±6.5, P=0.04) and first-attendance people showed a significant tendency for more gastrointestinal symptoms (4 vs. 2, P=0.03).Conclusion: On the whole, the screening of invitations from PCPs did not improve participation rates in GCSs in the short term. However, we believe that screening invitations can influence non-elderly people, and this intervention can be effective in increasing the numbers of gastrointestinal-symptomatic people attending for the first time (first-attendance people).

著者

• Uehara Ritei

  Department Of Pediatrics Jikei University School Of Medicine

• Tsuboi Satoshi

  Department Of Electrical And Electronic Engineering Kobe University

• Tateno Yuki

  Kozu National Health Insurance Clinic

• Miyazaki Yasuyuki

  Kozu National Health Insurance Clinic

関連論文

• 日本での上昇し続ける川崎病罹患率 : 全国調査結果
• 日本における川崎病発生状況 : 1999-2002年の全国調査より
• Birth Cohort Effect of the Mortality Rate from Congenital Heart Disease in Japan
• Seroepidemiology of hepatitis B virus infection among children in Mongolia : Results of a nationwide survey
• Impact of the Universal Hepatitis B Immunization Program in Mongolia : Achievements and Challenges
• Associations between dietary intake and breast milk dioxin levels in Tokyo, Japan
• 川崎病巨大冠動脈瘤の危険因子としての検査データ
• Case-control study of giant coronary aneurysms due to Kawasaki disease
• Respiratory Symptoms Correlating to Smoking Prevalence : The National Nutrition Survey and the National Life-style Survey in Japan
• Analyses of Fatal Cases of Kawasaki Disease in Japan Using Vital Statistical Data over 27 Years
• Factors associated with practice of procedures in pediatric-related areas among certified pediatricians
• Amino Acids and Peptides. XVII. : Synthesis of a Tridecapeptide Corresponding to the Sequence 165-177 of T-Kininogen (Tryptic Peptide) Containing Gln-Val-Val-Ala-Gly Sequence and the Relationship between Structure and Effect on Thiol Proteinase(Organic,Ch
• 川崎病の6つの主要症状と冠動脈後遺症
• Monthly Observation of the Number of Patients with Kawasaki Disease and its Incidence Rates in Japan : Chronological and Geographical Observation from Nationwide Surveys
• Epidemiologic Features of Kawasaki Disease in Japan : Results from the Nationwide Survey in 2005-2006
• Mortality Among Persons With a History of Kawasaki Disease in Japan : Mortality Among Males With Cardiac Sequelae is Significantly Higher Than That of the General Population
• Implications of Mutations of Activin Receptor-Like Kinase 1 Gene (ALK1) in Addition to Bone Morphogenetic Protein Receptor II Gene (BMPR2) in Children With Pulmonary Arterial Hypertension
• The relationship between clustering health-promoting components of lifestyle and bone status among middle-aged women in a general population
• 低出生体重児に対する喫煙の日本における人口寄与割合
• Respiratory Symptoms Correlating to Smoking Prevalence: The National Nutrition Survey and the National Life-style Survey in Japan.
• Long-term follow up of abdominal aortic aneurysm complicating Kawasaki disease : Comparison of ethe ffectiveness of different imaging methods
• Novel nonsense mutation of the BMPR-II gene in a Japanese patient with familial primary pulmonary hypertension
• Epidemiologic Features of Kawasaki Disease in Japan : Results of the 2007-2008 Nationwide Survey
• Change of specific T cells in an emerging neonatal infectious disease induced by a bacterial superantigen
• 川崎病巨大冠動脈瘤の症例対照研究 : 第19回川崎病全国調査
• Kawasaki Disease in Mongolia : Results From 2 Nationwide Retrospective Surveys, 1996-2008
• Characteristics and Validity of a Web-Based Kawasaki Disease Surveillance System in Japan
• Femtosecond Response of Diffraction Efficiency of GaAs/AlGaAs Photorefractive Multiple Quantum Well
• Epidemiology of Kawasaki Disease in Asia, Europe, and the United States
• Distribution of Birth Weight for Gestational Age in Japanese Infants Delivered by Cesarean Section
• Epidemiologic Features of Kawasaki Disease in Japan : Results of the 2009-2010 Nationwide Survey
• Toxic effects of nicotinamide methylation on mouse brain striatum neuronal cells and its relation to manganese
• Mortality Among Japanese With a History of Kawasaki Disease: Results at the End of 2009
• Can Screening Invitations from Primary Care Physicians Increase Participation in Cancer Screenings on Remote Islands?

もっと見る 閉じる

スポンサーリンク